2019 Women's Retreat Registration Form

Registrant Name *

First Name Last Name

E-mail *

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Phone Number

Area Code Phone Number

Home Church

Choice of Cabin Mates

I'd like to...

Be placed in a quiet cabin Receive more information to make my visit more affordable Know more about regular giving to Green Hill Lake Camp

Choose an option...

Full Weekend Retreat $ 109.00 CAD

Friday & Saturday Only $ 82.00 CAD

Saturday Only $ 60.00 CAD

Enter coupon

Subtotal $ 0.00 CAD Tax $ 0.00 CAD Total $ 0.00 CAD